BMJ: Impact of managed clinical networks on NHS specialist neonatal services in England: population based study

Impact of managed clinical networks on NHS specialist neonatal services in England: population based study: BMJ 2012;344:e2105 doi: 10.1136/bmj.e2105

Objective:  To assess the impact of reorganisation of neonatal specialist care services in England after a UK Department of Health report in 2003. (This study includes Ignatius Losa, Macclesfield District General Hospital)

Design: A population-wide observational comparison of outcomes over two epochs, before and after the establishment of managed clinical neonatal networks.

Setting: Epoch one: 294 maternity and neonatal units in England, Wales, and Northern Ireland, 1 September 1998 to 31 August 2000, as reported by the Confidential Enquiry into Stillbirths and Sudden Deaths in Infancy

Project 27/28 Epoch two: 146 neonatal units in England contributing data to the National Neonatal Research Database at the Neonatal Data Analysis Unit, 1 January 2009 to 31 December 2010.

Participants: Babies born at a gestational age of 27+0-28+6 (weeks+days): 3522 live births in epoch one; 2919 babies admitted to a neonatal unit within 28 days of birth in epoch two.

Intervention: The national reorganisation of neonatal services into managed clinical networks.

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